Stephen J Brummett, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Phoenix, OR
NPI 1992961239 · NPPES record last updated Mar 20, 2015
Key facts
- NPI
- 1992961239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 482 Elm St
Phoenix, OR 97535 - Phone
- (541) 535-3414
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150417001661 | OR | Practitioner - Clinical Social Worker | 0840518072 | Practice locations: Phoenix, OR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
482 Elm St
Phoenix, OR 97535
Mailing address
482 Elm Street
Medford, OR 97535
Phone (541) 535-3414
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All providers in Phoenix, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.